Referral Coordinator - Dakota Ridge

OnPoint Medical Group•Littleton, CO
•Onsite

About The Position

OnPoint Medical Group is hiring an on-site Referral Coordinator for OnPoint Family Medicine at Dakota Ridge. The role handles referrals and contacts prospective patients to schedule appointments, while ensuring appropriate authorizations are requested, received, and recorded in the electronic medical record (EMR). The coordinator also enters progress notes and other relevant information into the EMR according to established practices and procedures. This position is in person and does not offer remote work. The Referral Coordinator coordinates referrals and appointments, supports insurance pre-certification and authorization, and completes related administrative tasks. The role represents the clinic in communications with referring physician offices, insurance carriers, and patients, collaborates with departments to facilitate referrals, and backs up the front desk when needed. The position has no supervisory responsibilities.

Requirements

  • High school diploma or GED, or two years of related experience in a medical practice in insurance processing and follow-up.
  • At least two years of medical business office experience.
  • Knowledge of medical office procedures.
  • Knowledge of managed care organizations and insurance carriers’ pre-notification requirements for medical services.
  • Knowledge of medical terminology.
  • Excellent verbal communication skills.
  • Ability to maintain confidentiality of sensitive information.
  • Knowledge of computers and job-related software.
  • Strong leadership and problem-solving abilities.
  • High-level interpersonal skills and knowledge of information systems.
  • Ability to complete assigned tasks and contribute to clinic success.
  • Ability to work well with people, display empathy appropriately, and actively listen and respond appropriately.

Responsibilities

  • Obtain, coordinate, and schedule referrals.
  • Check physicians’ schedules routinely for add-on appointments that require referrals.
  • Represent the clinic in communications with referring physician offices, insurance carriers, and patients.
  • Collaborate with departments to ensure referrals are facilitated.
  • Assist with insurance pre-certification and authorization activities.
  • Facilitate prior authorizations and ensure prior approval requirements are met.
  • Process referrals, register patients, verify benefits, and obtain insurance authorizations.
  • Schedule patient appointments and communicate program information to potential candidates and referral sources.
  • Back up the front desk when needed.
  • Enter progress notes and other pertinent information into the EMR.
  • Accurately maintain medical records for patients and providers.

Benefits

  • Health insurance plan options for employees and dependents.
  • Dental and vision coverage for employees and qualified dependents.
  • Company-paid life insurance.
  • Voluntary short-term and long-term disability coverage.
  • AFLAC plans.
  • Flexible spending account options.
  • Eligible for 401(k) after six months of employment, with a 4% match that vests immediately.
  • Paid time off earned.
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